
Surgical work encompasses important aspects of personal and manual skills. In major surgery, there is a positive correlation between surgical experience and results. For pelvic organ prolapse (POP), this relationship has to our knowledge never been examined. In any clinical practice, there is always a certain proportion of inexperienced surgeons. In Sweden, most prolapse surgeons have little experience in performing prolapse operations, 74% conducting the procedure once a month or less. Simultaneously, surgery for POP globally has failure rates of 25-30%. In other words, for most surgeons, the operation is a low-frequency procedure, and outcomes are unsatisfactory. The aim of this study was to clarify the acceptability of having a high proportion of low-volume surgeons in the management of POP.A group of 14,676 exclusively primary anterior or posterior repair patients was assessed. Data were analyzed by logistic regression and as a group analysis.Experienced surgeons had shorter operation times and hospital stays. Surgical experience did not affect surgical or patient-reported complication rates, organ damage, reoperation, rehospitalization, or patient satisfaction, nor did it improve patient-reported failure rates 1 year after surgery. Assistant experience, similarly, had no effect on the outcome of the operation.A management model for isolated anterior or posterior POP surgery that includes a high proportion of low-volume surgeons does not have a negative impact on the quality or outcome of anterior or posterior colporrhaphy. Consequently, the high recurrence rate was not due to insufficient experience of the surgeons performing the operation.
Adult, Male, Reoperation, surgical outcome, Gynecologic Surgical Procedures/standards, national register data, patient-reported outcome, Clinical Competence/statistics & numerical data, Pelvic Organ Prolapse, Pelvic Organ Prolapse/surgery, Gynecologic Surgical Procedures, Humans, quality control, Surgeons/standards, Learning curve, Patient-reported outcome, Aged, Surgeons, Sweden, Surgical outcome, Kirurgi, Quality control, Reoperation/standards, Middle Aged, pelvic organ prolapse, Pelvic organ prolapse, learning curve, Treatment Outcome, National register data, Patient Satisfaction, Surgery, Original Article, Female, Clinical Competence
Adult, Male, Reoperation, surgical outcome, Gynecologic Surgical Procedures/standards, national register data, patient-reported outcome, Clinical Competence/statistics & numerical data, Pelvic Organ Prolapse, Pelvic Organ Prolapse/surgery, Gynecologic Surgical Procedures, Humans, quality control, Surgeons/standards, Learning curve, Patient-reported outcome, Aged, Surgeons, Sweden, Surgical outcome, Kirurgi, Quality control, Reoperation/standards, Middle Aged, pelvic organ prolapse, Pelvic organ prolapse, learning curve, Treatment Outcome, National register data, Patient Satisfaction, Surgery, Original Article, Female, Clinical Competence
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